Failure To Achieve

The Failure To Achieve handout supports clinicians in working with clients experiencing common early maladaptive schemas (EMS).

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Professional version

Offers theory, guidance, and prompts for mental health professionals. Downloads are in Fillable PDF format where appropriate.

Client version

Includes client-friendly guidance. Downloads are in Fillable PDF format where appropriate.

Overview

Schema therapy suggests that psychological difficulties arise from early maladaptive schemas (EMS) and clients' responses to them, known as ‘coping styles’. This resource, Failure To Achieve, is part of the Psychology Tools Schema series and aims to assist clients and therapists in addressing common EMS.

People with a failure to achieve EMS believe that they have failed, or inevitably will fail, in valued domains of achievement such as their career, education, finances, or sporting ability (Young, 2014). They believe they are considerably less capable than their peers, labeling themselves as stupid, unsuccessful, foolish, uneducated, ignorant, or untalented (Young et al., 2003). These negative self-perceptions result in a pervasive sense of inadequacy, often accompanied by hopelessness about change.

Why Use This Resource?

This overview of the failure to achieve EMS can help:

  • Introduce key schema therapy concepts.
  • Identify schemas that are relevant to the client.
  • Explain how and why this schema manifests in people's lives.
  • Support case conceptualization and treatment planning.

Key Benefits

Context

Introduces schema therapy's conceptual foundations.

Identification

Helps clients recognize the presence of the Failure To Achieve EMS.

Insight

Offers insight into how early experiences shape ongoing psychological patterns.

Intervention

Describes some of the ways this schema can be healed.

Who is this for?

Depression

Persistent sense of inadequacy and failure resulting in low mood.

Relationship Challenges

Interpersonal challenges due to perceived failure.

Other Difficulties

Failure to achieve has been associated with addictions, bipolar disorder, personality disorders, and social anxiety.

Integrating it into your practice

01

Educate

Begin by providing clients with psychoeducation about schemas in general.

02

Explore

Discuss whether clients can relate to the Failure To Achieve schema.

03

Monitor

Encourage clients to monitor for schema activation in daily life.

04

Intervene

Use cognitive, emotional, relational, and behavioral interventions to address this schema.

Theoretical Background & Therapist Guidance

Schema therapy combines several psychotherapeutic approaches within a unifying framework. Early maladaptive schemas are defined as pervasive, life-long patterns that result from unmet emotional needs in childhood.

People with a failure to achieve schema believe that have failed, or will fail, in the things they do. As a result, they might see themselves as stupid, untalented, or ignorant. People with this schema believe they are much less successful than others, which can leave them feeling inadequate or inferior.

What's inside

  • Overview of schema theory
  • In-depth explanation of the failure to achieve EMS.
  • Insights into the development and maintenance of this schema.
  • Instructions for exploring failure to achieve with clients.
Get access to this resource

FAQs

Early maladaptive schemas (EMS) are deeply entrenched, self-defeating patterns that stem from unmet emotional needs in childhood.
It provides a comprehensive understanding of the failure to achieve EMS, supporting schema identification, formulation, and treatment planning.
Yes, clinical experience suggests that this EMS often co-occurs with defectiveness schema (the client believes they are defective for failing) and the Unrelenting Standards schema (they compensate for feeling like a failure by pursuing very demanding standards).

How This Resource Improves Clinical Outcomes

The Failure To Achieve handout can improves client outcomes by:

  • Providing insight into self-defeating patterns.
  • Supporting schema identification and case conceptualization.
  • Suggesting how therapists can best support clients with this schema.

References And Further Reading

  • Abedi, A., Sepahvandi, M. A., & Mirderikvand, F. (2018). Investigating the role of early maladaptive schemas in body image disturbance. Journal of Advanced Pharmacy Education and Research, 8, 51–57.
  • Alba, J., Calvete, E., Wante, L., Van Beveren, M. L., & Braet, C. (2018). Early maladaptive schemas as moderators of the association between bullying victimization and depressive symptoms in adolescents. Cognitive Therapy and Research, 42, 24–35. https://doi.org/10.1007/s10608-017-9874-5
  • Arntz, A., Rijkeboer, M., Chan, E., Fassbinder, E., Karaosmanoglu, A., Lee, C. W., & Panzeri, M. (2021). Towards a reformulated theory underlying schema therapy: Position paper of an international workgroup. Cognitive Therapy and Research, 45, 1007–1020. https://doi.org/10.1007/s10608-021-10209-5
  • Askari, A. (2021). New concepts of schema therapy: The six coping styles. Amir Askari.
  • Bach, B., Lockwood, G., & Young, J. E. (2018). A new look at the schema therapy model: Organization and role of early maladaptive schemas. Cognitive Behaviour Therapy, 47, 328–349. https://doi.org/10.1080/16506073.2017.1410566
  • Beck, A. T., Freeman, A., & Davis, D. D. (2004). Cognitive therapy of personality disorders. Guilford Press.
  • Belsky, J. (2013). Differential susceptibility to environmental influences. International Journal of Child Care and Education Policy, 7, 15–31. https://doi.org/10.1007/2288-6729-7-2-15
  • Bishop, A., Younan, R., Low, J., & Pilkington, P. D. (2022). Early maladaptive schemas and depression in adulthood: A systematic review and meta‐analysis. Clinical Psychology and Psychotherapy, 29, 111–130. https://doi.org/10.1002/cpp.2630
  • Bolourian, Y., Zeedyk, S. M., & Blacher, J. (2018). Autism and the university experience: Narratives from students with neurodevelopmental disorders. Journal of Autism and Developmental Disorders, 48, 3330–3343. https://doi.org/10.1007/s10803-018-3599-5
  • Bowlby, J. (1977). The making and breaking of affectional bonds: I. Aetiology and psychopathology in the light of attachment theory. British Journal of Psychiatry, 130, 201–210. https://doi.org/10.1192/bjp.130.3.201
  • Briedis, J., & Startup, H. (2020). Somatic perspective in schema therapy: The role of the body in the awareness and transformation of modes and schemas. In G. Heath & H. Startup (Eds.), Creative methods in schema therapy: Advances and innovations in practice (pp. 60–75). Routledge.
  • Brockman, R. N., Simpson, S., Hayes, C., Wijingaart, R. V. D., & Smout, M. (2023). Cambridge guide to schema therapy. Cambridge University Press.
  • Bruysters, N. Y. F., & Pilkington, P. D. (2023). Overprotective parenting experiences and early maladaptive schemas in adolescence and adulthood: A systematic review and meta‐analysis. Clinical Psychology and Psychotherapy, 30, 10–23. https://doi.org/10.1002/cpp.2776
  • Castagna, P. J., Calamia, M., & Davis III, T. E. (2017). Childhood ADHD and negative self-statements: Important differences associated with subtype and anxiety symptoms. Behavior Therapy, 48, 793–807. https://doi.org/10.1016/j.beth.2017.05.002
  • Clouder, L., Karakus, M., Cinotti, A., Ferreyra, M. V., Fierros, G. A., & Rojo, P. (2020). Neurodiversity in higher education: A narrative synthesis. Higher Education, 80, 757–778. https://doi.org/10.1007/s10734-020-00513-6
  • Cutland Green, T., & Balfour, A. (2020). Assessment and formulation in schema therapy. In G. Heath & H. Startup (Eds.), Creative methods in schema therapy: Advances and innovation in clinical practice (pp. 19–47). Routledge.
  • Da Luz, F. Q., Sainsbury, A., Hay, P., Roekenes, J. A., Swinbourne, J., Da Silva, D. C., & da S. Oliveira, M. (2017). Early maladaptive schemas and cognitive distortions in adults with morbid obesity: Relationships with mental health status. Behavioral Sciences, 7, 1–11. https://doi.org/10.3390/bs7010010
  • Eisenberg, N., Fabes, R. A., Shepard, S. A., Guthrie, I. K., Murphy, B. C., & Reiser, M. (1999). Parental reactions to children’s negative emotions: Longitudinal relations to quality of children’s social functioning. Child Development, 70, 513–534. https://doi.org/10.1111/1467-8624.00037
  • Farrell, J. M., Reiss, N., & Shaw, I. (2014). The schema therapy clinician’s guide: A complete resource for building and developing individual, group and integrated schema mode treatment programs. John Wiley and Sons.
  • Farrell, J. M., & Shaw, I. (2018). Experiencing schema therapy from the inside out: A self-practice/self-reflective workbook for therapists. Guilford Press.
  • Flanagan, C. (2010). The case for needs in psychotherapy. Journal of Psychotherapy Integration, 20, 1–36. https://doi.org/10.1037/a0018815
  • Greenwald, M., & Young, J. (1998). Schema-focused therapy: An integrative approach to psychotherapy supervision. Journal of Cognitive Psychotherapy, 12, 109–126.
  • Hahn, J., & Oishi, S. (2006). Psychological needs and emotional well-being in older and younger Koreans and Americans. Personality and Individual Differences, 40, 689–698. https://doi.org/10.1016/j.paid.2005.09.001
  • Janovsky, T., Rock, A. J., Thorsteinsson, E. B., Clark, G. I., & Murray, C. V. (2020). The relationship between early maladaptive schemas and interpersonal problems: A meta‐analytic review. Clinical Psychology and Psychotherapy, 27, 408–447. https://doi.org/10.1002/cpp.2439
  • Kiff, C. J., Lengua, L. J., & Zalewski, M. (2011). Nature and nurturing: Parenting in the context of child temperament. Clinical Child and Family Psychology Review, 14, 251–301. https://doi.org/10.1007/s10567-011-0093-4
  • Kiraz, S., & Sertçelik, S. (2021). Adult attention deficit hyperactivity disorder and early maladaptive schemas. Clinical Psychology and Psychotherapy, 28, 1055–1064. https://doi.org/10.1002/cpp.2569
  • Kudryavtsev, V. T. (2011). The phenomenon of child creativity. International Journal of Early Years Education, 19, 45–53. https://doi.org/10.1080/09669760.2011.570999
  • Lockwood, G., & Perris, P. (2012). A new look at core emotional needs. In M. van Vreeswijk, J. Broersen, & M. Nadort (Eds.), The Wiley-Blackwell handbook of schema therapy: Theory, research, and practice (pp. 41–66). John Wiley and Sons.
  • Loose, C., Graaf, P., Zarbock, G., & Holt, R. A. (2020). Schema therapy for children and adolescents (ST-CA): A practitioner’s guide. Pavilion.
  • Lorzangeneh, S., & Esazadegan, A. (2022). The role of early maladaptive schema domains and childhood trauma in predicting cognitive distortions. Journal of Research in Psychopathology, 3, 1–8. https://doi.org/10.22098/JRP.2022.10098.1049
  • Louis, J. P., Wood, A. M., Lockwood, G., Ho, M.-H. R., & Ferguson, E. (2018). Positive clinical psychology and Schema Therapy (ST): The development of the Young Positive Schema Questionnaire (YPSQ) to complement the Young Schema Questionnaire 3 Short Form (YSQ-S3). Psychological Assessment, 30, 1199–1213. https://doi.org/10.1037/pas0000567
  • Lumley, M. N., & Harkness, K. L. (2007). Specificity in the relations among childhood adversity, early maladaptive schemas, and symptom profiles in adolescent depression. Cognitive Therapy and Research, 31, 639–657. https://doi.org/10.1007/s10608-006-9100-3
  • May, T., Younan, R., & Pilkington, P. D. (2022). Adolescent maladaptive schemas and childhood abuse and neglect: A systematic review and meta‐analysis. Clinical Psychology and Psychotherapy, 29, 1159–1171. https://doi.org/10.1002/cpp.2712
  • Nia, M. K., & Sovani, A. (2014). Cross cultural comparison role of early maladaptive schemas and coping styles between women with depressive symptoms in Iran and India. Journal of Applied Environmental and Biological Sciences, 4, 57–65.
  • Nicol, A., Mak, A. S., Murray, K., Walker, I., & Buckmaster, D. (2020). The relationships between early maladaptive schemas and youth mental health: A systematic review. Cognitive Therapy and Research, 44, 715–751. https://doi.org/10.1007/s10608-020-10092-6
  • Nilsson, K. K., Nielsen Straarup, K., & Halvorsen, M. (2015). Early maladaptive schemas: A comparison between bipolar disorder and major depressive disorder. Clinical Psychology and Psychotherapy, 22, 387–391. https://doi.org/10.1002/cpp.1896
  • Noor, R., & Dildar, S. (2021). Childhood traumatic experiences, early maladaptive schemas and personality dysfunctions in shelter home residents. Pakistan Journal of Applied Psychology, 1, 10–23.
  • Nordahl, H. M., Holthe, H., & Haugum, J. A. (2005). Early maladaptive schemas in patients with or without personality disorders: Does schema modification predict symptomatic relief? Clinical Psychology and Psychotherapy, 12, 142–149. https://doi.org/10.1002/cpp.430
  • O’Sheedy, B. (2021). Is connectedness to nature a core human need? Schema Therapy Bulletin, 23, 10–14.
  • Oshima, F., Iwasa, K., Nishinaka, H., & Shimizu, E. (2015). Early maladaptive schemas and autism spectrum disorder in adults. Journal of Evidence-Based Psychotherapies, 15, 191–205.
  • Pekdoğan, S., & Kanak, M. (2022). Child temperament as a predictor of parents’ potential for emotional abuse. The Journal of Nervous and Mental Disease, 210, 330–334. https://doi.org/10.1097/NMD.0000000000001449
  • Philipsen, A., Lam, A. P., Breit, S., Lücke, C., Müller, H. H., & Matthies, S. (2017). Early maladaptive schemas in adult patients with attention deficit hyperactivity disorder. ADHD Attention Deficit and Hyperactivity Disorders, 9, 101–111. https://doi.org/10.1007/s12402-016-0211-8
  • Pilkington, P. D., Bishop, A., & Younan, R. (2021). Adverse childhood experiences and early maladaptive schemas in adulthood: A systematic review and meta‐analysis. Clinical Psychology and Psychotherapy, 28, 569–584. https://doi.org/10.1002/cpp.2533
  • Pilkington, P., Younan, R., & Bishop, A. (2021). Early maladaptive schemas, suicidal ideation, and self-harm: A meta- analytic review. Journal of Affective Disorders Reports, 3, 100051. https://doi.org/10.1016/j.jadr.2020.100051
  • Pink, R., & Emery, R. (2023). Dirty laundry: Why adults with ADHD are so ashamed and what we can do to help. Vintage.
  • Pinto-Gouveia, J., Castilho, P., Galhardo, A., & Cunha, M. (2006). Early maladaptive schemas and social phobia. Cognitive Therapy and Research, 30, 571–584. https://doi.org/10.1007/s10608-006-9027-8
  • Price, J. P. (2007). Cognitive schemas, defence mechanisms and post-traumatic stress symptomatology. Psychology and Psychotherapy: Theory, Research and Practice, 80, 343–353. https://doi.org/10.1348/147608306X144178
  • Quinta Gomes, A. L., & Nobre, P. (2012). Early maladaptive schemas and sexual dysfunction in men. Archives of Sexual Behavior, 41, 311–320. https://doi.org/10.1007/s10508-011-9853-y
  • Rafaeli, E., Berstein, D. P., & Young, J. E. (2011). Schema therapy: Distinctive features. Routledge.
  • Rafaeli, E., Maurer, O., Lazarus, G., & Thoma, N. C. (2016). The self in schema therapy. In M. Kyrios, R. Moulding, G. Doron, S. S. Bhar, M. Nedeljkovic, & M. Mikulincer (Eds.), The self in understanding and treating psychological disorders (pp. 59–70). Cambridge University Press.
  • Sheffield, A., Waller, G., Emanuelli, F., Murray, J., & Meyer, C. (2005). Links between parenting and core beliefs: Preliminary psychometric validation of the Young Parenting Inventory. Cognitive Therapy and Research, 29, 787–802. https://doi.org/10.1007/s10608-005-4291-6
  • Simeone-DiFrancesco, C., Roediger, E., & Stevens, B. A. (2015). Schema therapy with couples: A practitioner’s guide to healing. John Wiley and Sons.
  • Simpson, S., Simionato, G., Smout, M., van Vreeswijk, M. F., Hayes, C., Sougleris, C., & Reid, C. (2019). Burnout amongst clinical and counselling psychologist: The role of early maladaptive schemas and coping modes as vulnerability factors. Clinical Psychology and Psychotherapy, 26, 35–46. https://doi.org/10.1002/cpp.2328
  • Sundag, J., Zens, C., Ascone, L., Thome, S., & Lincoln, T. M. (2018). Are schemas passed on? A study on the association between early maladaptive schemas in parents and their offspring and the putative translating mechanisms. Behavioural and Cognitive Psychotherapy, 46, 738–753. https://doi.org/10.1017/S1352465818000073
  • Thimm, J. C., & Chang, M. (2022). Early maladaptive schemas and mental disorders in adulthood: A systematic review and meta-analysis. International Journal of Cognitive Therapy, 1–43. https://doi.org/10.1007/s41811-022-00149-7
  • Van Genderen, H., Rijkeboer, M., & Arntz, A. (2012). Theoretical model: Schemas, coping styles, and modes. In M. van Vreeswijk, J. Broersen, & M. Nadort (Eds.), The Wiley-Blackwell handbook of schema therapy: Theory, research, and practice (pp. 27–40). John Wiley and Sons.
  • Van Vreeswijk, M., Broersen, J., & Schurink, G. (2014). Mindfulness and schema therapy: A practical guide. John Wiley and Sons.
  • Wells, A., & Hackmann, A. (1993). Imagery and core beliefs in health anxiety: Content and origins. Behavioural and Cognitive Psychotherapy, 21, 265–273. https://doi.org/10.1017/S1352465800010511
  • Yalcin, O., Marais, I., Lee, C. W., & Correia, H. (2023). The YSQ-R: Predictive validity and comparison to the short and long form Young Schema Questionnaire. International Journal of Environmental Research and Public Health, 20, 1–14. https://doi.org/10.3390/ijerph20031778
  • Young, J. E. (1990). Cognitive therapy for personality disorders: A schema-focused approach. Practitioner’s Resource Exchange.
  • Young, J. E. (1999). Cognitive therapy for personality disorders: A schema-focused approach (3rd ed.). Professional Resource Press.
  • Young, J. E., & Klosko, J. S. (1994). Reinventing your life: The breakthrough program to end negative behavior and feel great again. Plume.
  • Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema therapy: A practitioner’s guide. Guilford Press.
  • Young, J. E., Zangwill, W. M., & Behary, W. E. (2002). Combining EMDR and schema-focused therapy: The whole may be greater than the sum of the parts. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (pp. 181–208). American Psychological Association.
  • Young, S., & Bramham, S. (2012). Cognitive-behavioural therapy for ADHD in adolescents and adults: A psychological guide to practice (2nd ed.). Wiley-Blackwell.
  • Zentner, M., & Bates, J. E. (2008). Child temperament: An integrative review of concepts, research programs, and measures. European Journal of Developmental Science, 2, 7–37.